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Join the Mosaic of Hands at the Community
Children’s Museum It is easy to participate:
1.) Complete the form below
2) PRINT your message clearly below
3) Trace your hand(s) on the back of this or any other paper and put
your name in the middle of the hand along with the size and color of
glass you are purchasing.
4) Mail the form and the handprint with a check made out to the Community
Children’s Museum to 77 East Blackwell Street, Dover, NJ 07801 (Fully tax
deductible)
5) If you have any questions, please call the museum at 973 366-9060.
Name: ________________________________________________________
Address: ______________________________________________________
Phone #: ______________________________________________________
Email: ________________________________________________________
Circle the size and color you want:
Red
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Yellow
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Green |
Blue |
Purple |
Orange
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7” round (has room for one
hand) Donation of $50
9” round (has
room for two hands) Donation
of $100
Please print clearly how you want your inscription to read (no more than
15 words please). Your gift is tax deductible to the fullest extent allowed
by law. The museum reserves the right to review the wording of your message
for content and appropriateness.
PRINT MESSAGE CLEARLY BELOW:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
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